EP3496594B1 - System, verfahren und computerlesbares speichermedium zur körperhaltungs- und bewegungsregulation - Google Patents

System, verfahren und computerlesbares speichermedium zur körperhaltungs- und bewegungsregulation Download PDF

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Publication number
EP3496594B1
EP3496594B1 EP17749691.6A EP17749691A EP3496594B1 EP 3496594 B1 EP3496594 B1 EP 3496594B1 EP 17749691 A EP17749691 A EP 17749691A EP 3496594 B1 EP3496594 B1 EP 3496594B1
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EP
European Patent Office
Prior art keywords
unit
body position
acoustic signal
data
position data
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EP17749691.6A
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German (de)
English (en)
French (fr)
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EP3496594A1 (de
Inventor
Peter Sonntag
Stephan BOLLINGER
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Addasense Health GmbH
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Addasense Health GmbH
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116—Determining posture transitions
    • A—HUMAN NECESSITIES
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    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1071—Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring angles, e.g. using goniometers
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    • A61B5/683—Means for maintaining contact with the body
    • A61B5/6831—Straps, bands or harnesses

Definitions

  • the invention relates to a method for regulating posture and movement.
  • the invention further relates to a system for use in the method according to the invention for posture and movement regulation.
  • the invention also relates to a computer-readable storage medium.
  • the system is intended to help prevent accidents involving people who are unsteady when walking. Additional safety should be created for people with impaired sense of balance. In particular, protective postures and gentle walking as well as incorrect and unhealthy movements or movement sequences should be avoided.
  • the system for posture and movement regulation should make it possible to specifically act on this one-sided disorder if there is only one-sided posture damage and/or gait disorders.
  • the system should make it possible to carry out training sessions with changes in position, position, rotation and posture of bodies or To carry out the individual parts of the body to be trained consciously and correctly.
  • the system is intended to serve as an exercise tool, for example, to improve joint mobility or to improve mobility in the event of muscle shortening or lack of strength in individual body limbs or in the event of restricted movement of individual limbs or groups of limbs.
  • Therapy goals with a therapist should be accelerated, simplified or intensified due to the use of the system according to the invention.
  • the method should be able to be carried out with the system according to the invention.
  • the object of the invention is solved by a method for posture and movement regulation, according to the teaching according to claim 1. Furthermore, the object of the invention is solved by a system for posture and movement regulation, according to the teaching according to claim 7. In addition the solution to the problem of the invention by a computer-readable storage medium according to the teaching according to claim 14.
  • the system according to the invention for posture and movement regulation can also be referred to as a system for walking and movement regulation aid. Since movement regulation also includes walking or gait regulation, the system is referred to below as a system for posture and movement regulation.
  • the output unit is designed to output (at least) one stereoacoustic signal.
  • At least one output unit is provided.
  • the system has at least one output unit for outputting an acoustic signal.
  • the body position sensor unit includes a shock sensor. It is possible that the body position sensor unit includes several position sensors. The position sensors can be designed in the same way or in different ways.
  • the body position sensor unit may comprise a plurality of sensors that are arranged on different parts of the body and/or different positions of the body.
  • the system according to the invention can further have a display unit for visually displaying the data determined by the body position sensor unit. It is also possible for the system to have an operating unit for setting system parameters. In a particularly preferred embodiment of the invention, the operating unit and the display unit can be combined in one module. This module can be a so-called interface element module. The interface elements module can also be referred to as an input and output module.
  • the at least one body position sensor unit and/or the at least one computing unit and/or the at least one output unit for outputting an acoustic signal and/or at least one output unit for outputting a vibration signal and/or the at least one display unit and/or the at least one Operating unit can/can be designed in a mobile communication device, in particular in a mobile phone.
  • the at least one body position sensor unit, and/or the at least one computing unit and/or the at least one output unit for outputting an acoustic signal and/or at least one output unit for outputting a vibration signal and/or the at least a display unit and/or the at least one operating unit is/are designed as part of a mobile communication device, in particular a mobile telephone.
  • the mobile communication device can be a cell phone or a smartphone or a PDA or a handheld.
  • the mobile communication device can be a device designed specifically for the application according to the invention.
  • the mobile communication device preferably comprises at least one radio interface.
  • the mobile communication device can preferably receive and/or send radio signals.
  • the radio signals can be Bluetooth signals and/or infrared signals and/or 3G signals and/or 4G signals and/or LTE signals and/or UMTS signals and/or WLAN signals.
  • Wireless data transmission is preferably possible with the help of the mobile communication device.
  • the wireless data transmission can be designed between the body position sensor unit and the computing unit and/or between the computing unit and the output unit for outputting an acoustic signal and/or an output unit for outputting a vibration signal.
  • a cable connection for transmitting data to be formed between the body position sensor unit and the computing unit and/or between the computing unit and the output unit for outputting an acoustic signal and/or an output unit for outputting a vibration signal.
  • the at least one body position sensor unit can be a position sensor of the mobile communication device.
  • the data and/or signals and/or information of at least one position sensor of a mobile communication device can be tapped.
  • the computing unit can be the computing unit of the mobile communication device. Furthermore, it is possible for a computing unit, in particular an external computing unit, to be designed that is independent of the mobile communication device.
  • the output unit for outputting an acoustic signal can be a headphone that is assigned to a mobile communication device or is part of a mobile communication device.
  • the headphones can be connected to the mobile communication device using a cable. Alternatively and/or additionally, it is possible that a radio connection exists or can be established between the headphones and the mobile communication device.
  • the output unit for outputting (at least) one stereoacoustic signal can be a bone conduction headphone or a radio headphone, in particular a Bluetooth headphone, or an in-ear headphone or an implant, in particular a cochlear implant.
  • the output unit for outputting a vibration signal can be a radio vibration transmitter, in particular a Bluetooth vibration transmitter, or a vibration transmitter of the mobile communication device.
  • the output unit to output a vibration signal may be designed as an output unit to output a stimulation current.
  • the system can also include a carrying device for the at least one body position sensor unit and/or the at least one output unit for outputting an acoustic signal and/or an output unit for outputting a vibration signal and/or for the computing unit and/or for the operating unit and/or or for the display unit.
  • the carrying device can be designed as a bag with at least one strap.
  • the pocket can be designed in the form of a neck pouch.
  • At least one body position sensor unit and/or at least one output unit for outputting an acoustic signal and/or at least one output unit for outputting a vibration signal and/or a computing unit and/or an operating unit and/or a display unit can be located in the pocket or be transported.
  • the bag can be fixed in its position using at least one chest strap and/or one shoulder strap or combined chest and shoulder straps.
  • the bag is fixed in the area of the user's solar plexus.
  • the bag is fixed in the area of the user's manubrium sterni. It is advantageous to detect the position of the human body, in particular the degree of inclination of the human body, in this area of the body.
  • the carrying device may be designed as an upper body item of clothing.
  • the carrying device may be in the form of a T-shirt or a long-sleeved shirt or an undershirt. Such a carrying device preferably sits close to the body.
  • the at least one body position sensor unit and/or the at least one computing unit and/or the at least one output unit for outputting an acoustic signal and/or the at least one output unit for outputting a vibration signal and/or at least one operating unit and/or the at least one Display unit can/can be attached to the upper body clothing item, in particular sewn on and/or glued on and/or velcroed on.
  • the upper body clothing may have at least one pocket and/or a compartment in which the body position sensor unit and/or the at least one computing unit and/or the at least one output unit for outputting an acoustic signal and/or or at least one output unit for outputting a vibration signal and/or the at least one operating unit and/or the at least one display unit is located.
  • the at least one body position sensor unit is preferably arranged or fixed in the area of the user's solar plexus. In one particularly In a preferred embodiment of the invention, the at least one body position sensor unit is arranged or fixed in the area of the manubrium sterni.
  • the design of the carrying device as an upper body item of clothing is particularly suitable for forming multiple position sensors and arranging them at different positions and/or parts of the user's body.
  • an output unit for outputting a vibration signal can be designed with several vibration transmitters.
  • the vibration transmitters can be arranged at different positions and/or on different parts of the user's body.
  • a further design of the carrying device can be designed like a stocking or a band.
  • Such a design of the carrying device enables position sensors, in particular a body position sensor unit, to be attached to an extremity of the body.
  • the carrying device in a further embodiment of the invention, it is possible to design the carrying device as part of a shoe or like a shoe.
  • a glasses adapter If position sensors are attached to glasses, the user's head position in particular can be detected or monitored. It is also possible to form an output unit for outputting an acoustic signal on glasses. Such an embodiment of the carrying device enables a combination with the user's existing objects or devices.
  • individual elements or components of the system can be attached to clothing using magnets be attached or attachable to a user.
  • a magnetic attachment is preferably carried out using two magnets, with the user's clothing being located between the two magnets.
  • the user's existing clothing can serve as a kind of carrying device, whereby the clothing can be changed regularly.
  • a magnetic attachment is also used to individually position individual elements or components of the system.
  • At least one sensor in particular at least one position sensor, can be magnetically attached to a transdermal implant.
  • the system according to the invention includes an audio module.
  • This audio module is preferably designed between the computing unit and the output unit to output an acoustic signal.
  • the audio module includes at least one sound generation unit and at least one audio mixer unit.
  • the sound generation unit is the audio source.
  • the tone generation unit the fundamental tone of the at least one acoustic signal can be generated. This can be done in the sense of a synthesizer or tone generator. It is also possible to create an audio player. For example, audio files can be saved. In other words, you can choose from several saved sound sets of an audio player. But it is also possible for an individual tone to be generated using a tone generator.
  • the sound can be generated on the Internet, in particular on a server, and streamed, in particular accessed and received, by the computing unit of the system and/or the audio module.
  • This can be done, for example, via an Internet audio player, with the body position sensor unit and the audio mixer unit generating the acoustic signal, preferably in real time.
  • the audio mixer unit is used to create sound effects and sound conversion. This can affect both pitch and tone phases.
  • the stereo volume of the individual channels is controlled with the help of the audio mixer unit.
  • the signal generated by the audio mixer unit is also generated on the Internet, in particular on a server, and is streamed by the computing unit and/or the audio module.
  • this can be done, for example, in such a way that the computing unit sends the body position data determined by the body position sensor unit to a server.
  • the audio mixing and/or sound generation and/or conversion of the body position data may be performed on a server.
  • the acoustic signal can be streamed, in particular retrieved and received, by the computing unit of the system and/or the audio module.
  • the system can also include a monitoring unit, in particular an external monitoring unit.
  • This monitoring unit can be designed as a mobile communication device.
  • The, preferably external, monitoring unit preferably comprises an operating unit and a display unit.
  • the display unit serves to visually display the data determined by the body position sensor unit.
  • the control unit is preferably used to set system parameters.
  • the monitoring unit enables third parties, such as B. Doctors or trainers can monitor the application of the system according to the invention and can intervene in the application (in real time). It is possible that the system parameters can be changed by external people such as doctors or trainers.
  • the system according to the invention it is possible, for example, to control body posture while sitting, especially during prolonged sitting. This enables a correct sitting posture. Furthermore, rehearsed or defined movement sequences, especially in gait and posture, can be checked. The person can be given feedback so that the correct execution of the movement sequence and/or the movement sequence of individual limbs and/or an exercise is made possible even without the presence of a therapist and/or a doctor.
  • the system may include a memory.
  • the storage may be local storage. This local memory is preferably integrated into the computing unit of the system.
  • the storage is an external database, in particular a cloud.
  • the data recorded by the body position sensor unit can be stored and/or transmitted in the database.
  • the external database can also be referred to as a platform.
  • the system can also have a communication unit.
  • recorded data can be transferred to the database, in particular to a cloud or an online database or a web server.
  • the communication unit is preferably designed in such a way that data can be retrieved from a cloud, an online database or a web server and imported into the system, in particular into the computing unit. This includes data such as software updates, software upgrades, new tones and predefined presets and/or setting options.
  • the method according to the invention for posture and movement regulation for people can also be referred to as a method for walking and movement regulation aid. Since the movement regulation includes walking or gait regulation and, furthermore, regulation should be made possible even when the user is standing still, namely posture regulation, the method for walking or gait and movement regulation aid is referred to below as a method for posture and movement regulation for referred to as people.
  • the method according to the invention is preferably carried out with the system according to the invention described above.
  • Steps a) to d) are preferably repeated endlessly during the wearing time of the system according to the invention.
  • Step a) is preferably carried out with the aid of a body position sensor unit.
  • step c) a comparison of the body position data with target position data, in particular target body position data, can be carried out.
  • This step c) is preferably carried out with the aid of a computing unit.
  • a calibration step can be carried out in which the 0° position, in particular the 0° body position data, of the human body, in particular the 0° inclination of the human body, is determined.
  • a calibration step is necessary, among other things, to enable people with a crooked posture to use the system according to the invention.
  • the device should be quickly locked on the body.
  • the 0° position of the human body for the purpose of calibration.
  • the 0° position of the human body or the 0° inclination of the human body can be determined as a mean value.
  • the absolute plumb line it is possible for the absolute plumb line to be set as an inclination degree of 0.
  • the comparison of the body position data with target body position data can be carried out on the basis of the 0° position of the human body determined in the calibration step.
  • the target body position data can therefore correspond to the 0° position of the human body, in particular the 0° inclination of the human body.
  • a setting step (setting mode) can be carried out.
  • presettings of the system can be made without prior positioning of a position sensor, in particular a body position sensor unit. Such settings are no longer possible or are only possible with great difficulty during the actual determination of the body position data and during movement.
  • At least two presets are made in order to convert only the individual and relevant range of movement or inclination of the human body into signals, in particular into acoustic signals.
  • the first sensor value (n1) defines the smallest sensor value that must at least be exceeded in order to start an acoustic signal and/or an acoustic increase.
  • A/the second sensor value (n2) may correspond to the second inclination value.
  • the second sensor value defines the maximum sensor value at which an acoustic increase should be maximally fulfilled.
  • the pitch or volume of the acoustic signal is to be understood as an acoustic increase.
  • sensor values are to be understood as meaning values to be detected using a sensor.
  • the two sensor values (n1, n2) can each be determined or set for movement to the left and to the right.
  • the two sensor values (n1, n2) can each be determined or set for a forward and backward movement.
  • the sensor values (n1, n2) from two sides can be determined or fixed symmetrically to a central body reference axis. This means that the two sensor values (n1, n2) are only determined for one side (e.g. left) and then the two sensor values (n1, n2) for the second side (e.g. right) are determined symmetrically to this.
  • the sensor values (n1, n2) can therefore be determined independently of each other with respect to the respective sides.
  • the presettings can be made in the setting step using an operating unit. It is possible for the user to orientate himself on possible setting values or a selection of predetermined system parameters and thus define the first sensor value (n1) and the second sensor value (n2).
  • the setting step does not take place in the sense of a presetting to be typed in or a presetting to be selected from a set of presettings.
  • the setting step is possible without visibility or without looking at an operating unit.
  • the presetting or setting step can be carried out by tapping on an operating unit. The user orientates himself on a real-time body inclination. While this real-time body inclination is actively carried out by the user, a first sensor value and a second sensor value can be set by confirmation on the control unit, ie by blind typing. In this case, the control unit serves as a kind of response button, ie as a feedback button.
  • the body position data can be determined in the sagittal plane and in the frontal plane of the body.
  • the sagittal plane refers to a plane extending from the head to the pelvis and from the back to the stomach.
  • the plane of movement visible when a person is viewed from the front is called the frontal plane.
  • the body position data is recorded in the sense of an extension from front to back or vice versa.
  • the frontal plane the body position data is recorded from left to right or vice versa.
  • step c) a first acoustic signal for the body position data in the frontal plane and a second acoustic signal for the body position data in the sagittal plane are generated.
  • a first stereo sound will be generated.
  • a second stereo sound is generated.
  • a tone rising to the degree of inclination within a defined range in the corresponding ear, i.e. H. in the left or right ear, and through an additionally changing stereo sound character (front, back) the user is intuitively conveyed acoustically in real time in which direction and how strong the body tilt is currently.
  • the tone increase can be slow or fast.
  • Such a basic tone is output via the output unit for outputting an acoustic signal even if there is no deviation from the 0° position of the human body, in particular no deviation from the 0° inclination of the human body.
  • the base tone can be extremely quiet.
  • a basic tone is used to perceive the tone differences produced more sensitively.
  • the base tone also serves to achieve permanent system control. If no basic tone is emitted, the user can conclude that the system is not working or that there is a malfunction.
  • the body position data is preferably stored. It is also possible for the body position data to be sent to a database.
  • the body position data can be stored in the computing unit according to the invention. It is also possible for a mobile communication device to have a memory for storing body position data. It is also possible to create an external memory.
  • the body position data is sent to a database, it is preferably an external database.
  • the database can be a cloud.
  • the automatically collected data can be, for example, the time and/or the date and/or the weather conditions and/or the temperature and/or a GPS signal and/or the movement and vibration values and/or the distance traveled and/or or the duration of use of the system and/or the speed of movement and/or information about the ground conditions and/or the system settings used, in particular the specified sensor threshold values. This makes it possible to relate the stored body position data to external conditions.
  • Manually created notes can, for example, be about the user's medical condition and/or the user's current medication and/or the user's general state of health. This allows an analysis mode to be performed. Therapy courses can be recorded and optimized.
  • the user By means of a tone in the respective ear of a user, which is assigned to the degree of inclination of the body, the user, in particular of the system according to the invention, is acoustically informed about the direction in which the body is tilted and/or how much the body is tilted.
  • an acoustic signal associated with the deviation of the body from the 0° position of the human body in the respective ear of a user can inform the user in which direction the body is facing the 0° position of the human body deviates and/or how much the body position deviates from the 0° position of the human body.
  • the acoustic signal can also be a silent signal. If no sound, especially no stereo acoustic signal, is emitted, the position/inclination of the body cannot be corrected. The same applies to the output of a vibration signal. Unless the position/inclination of the body needs to be corrected, it is possible not to emit a vibration signal.
  • a first method for converting body position data into an acoustic signal involves a mono rise. If a changed acoustic signal is sent to an ear, in particular an acoustic signal that changes in terms of volume or modulation or in terms of effects, the position of the body must be corrected. If no acoustic signal is output by the output unit or only the basic tone is output by the output unit to output an acoustic signal, the body position or the inclination of the body cannot be corrected.
  • step c), d. H the conversion of the body position data into at least one acoustic signal provides that a stereo change is carried out. Accordingly, when the human body assumes a 0° position, in particular a 0° inclination of the human body, a central, equivalent stereo signal is output to both ears of the user. In other words, a stereo signal is output in equal proportions to the user's left and right ears.
  • the acoustic signal is increased in one ear and reduced to the same extent in the other ear.
  • the method according to the invention provides in particular that an, in particular second, acoustic signal is output by the output unit even if the body position deviates forward or backward.
  • the second acoustic signal can increasingly replace the first acoustic signal depending on predefined settings and/or depending on the actual degree of inclination.
  • the acoustic signal can create a type of pressure resistance or a type of suction effect in the user.
  • the volume of the sound in the user's ear increases to which side the user's body leans.
  • the volume of the sound in the ear of this first side increases.
  • the sound signals the current situation of the body position or the inclination of the user's body.
  • the user perceives the acoustic signal output as increasing resistance and increasing warning.
  • the acoustic signal is generated on the ear opposite to the direction of inclination. After a period of getting used to it, the user perceives such an acoustic signal output as a soft, pleasant correction and less as a warning.
  • the method in the form of a pressure resistance or the method in the form of a suction effect can alternatively or additionally be carried out with vibration signals.
  • the average direction of movement of the body and a deviation from the average direction of movement it is possible for the average direction of movement of the body and a deviation from the average direction of movement to be determined in step a). It is possible for a user to have a crooked gait without the body position deviating from the 0° body position or without the body leaning in a particular direction. It is therefore possible for a user to deviate from the average direction of movement despite a straight upper body, in other words despite a straight posture, for example by swaying steps. It is therefore possible for users to be informed of deviations from the average direction of movement by an acoustic signal. To do this, the average direction of movement of the user must first be recognized or detected.
  • a setting step (setting mode) can be carried out before step c).
  • a setting step (setting mode) can be carried out.
  • the setting step it can first be determined at which degree of deviation (a1) from the average direction of movement an acoustic signal should be output. Furthermore, it is possible to define a degree of deviation 2 (a2) in the setting step, at which a maximum volume or an alarm tone is emitted in the form of an acoustic signal. Furthermore, it is possible to preset the system parameters as to whether a quickly reacting and possibly loud or harsh signal should be output or whether a gently rising acoustic increase should be generated in one or both ears.
  • the deviation from the average direction of movement can be reproduced acoustically as an alternative and/or in addition to an inclination value.
  • the option regarding the inclusion of the deviation from the average direction of movement can be designed to be switched on and off.
  • the body position sensor unit for detecting this body vibration comprises at least one vibration sensor.
  • the data regarding the stepping force is in step c), d. H. taken into account when converting the body position data into at least one acoustic signal.
  • the data regarding the stepping force is included in the calculation of the acoustic signal.
  • this step force data in amplified manner when generating the acoustic signal compared to the acoustic signals associated with body inclination data. This serves in particular to emit increased acoustic signals regarding the gait. This allows the user to obtain information about their gait.
  • the stepping force data when generating the acoustic signal or to actively filter it out.
  • the additional output of an acoustic signal related to step force can be disruptive. By filtering out the step force signal, the user can concentrate better on the body sway and on compensating for the body sway.
  • step a) data regarding the step length and/or the time duration of the ground contact of the two feet and/or the kick-off height of the feet can be recorded.
  • This data can be used in step c), d. H. must be taken into account when converting the body position data into at least one acoustic signal. In other words, the data mentioned can be included in the calculation of the acoustic signal.
  • the body position data determined in step a), in particular the determined degree of inclination data to be converted into a visual image and sent to a display unit and/or stored in a database.
  • the object is further achieved by a computer-readable storage medium which contains instructions which cause at least one processor to carry out a method according to the invention according to one of the preceding Implement embodiments when the instructions are executed by the processor.
  • inclination data from position sensors of a mobile communication device attached to the body 10, in particular a smartphone 20, are converted into acoustic, in particular stereoacoustic signals 30.
  • All necessary elements of the system according to the invention are formed in the smartphone 20.
  • the necessary elements are at least one position sensor, in particular a body position sensor unit.
  • a computing unit is also integrated into the smartphone 20.
  • an output unit is designed to output an acoustic signal, in this case a stereo acoustic signal 30.
  • the output unit in this case is a headphone 31.
  • Position sensors directly or indirectly applied to the body 10 or a body position sensor unit can provide data regarding the position and/or inclination and/or rotation and/or posture as well as position and/or inclination - and/or rotation and/or posture changes to the computing unit of the smartphone 20.
  • This data is converted in real time into at least one acoustic signal and/or a vibration signal.
  • the data is converted into stereoacoustic signals.
  • the stereoacoustic signals 30 are output or perceived there in the left ear 32 and/or in the right ear 33. The user can react to the stereoacoustic signal and change the body position.
  • the position sensors are integrated into the smartphone 20.
  • the smartphone 20 may include an output unit 150 for vibration signals. This is indicated schematically by the transmitted vibration signals 50.
  • a position sensor 40 can be connected, for example via a radio connection, to a mobile communication device, in particular a terminal 20 with Internet access.
  • the position data/inclination data in particular the body position data, are converted into vibration signals 50 in the example shown.
  • a pictorial representation 100 can show which position the user's body 10 assumes or to what extent the user's body 10 is inclined.
  • vibration signals can be emitted at different points on the body.
  • Fig. 1a The stereo acoustic signals are perceived directly on the ear, in particular on the two ears 32 and 33, via headphones 31, in-ears or bone conduction headphones, via cable or Bluetooth. Vibration signals can be in Fig. 1 triggered directly via the smartphone 20 and transferred to the body 10. In Fig. 1b On the other hand, alternative external Bluetooth vibration transmitters 150 are arranged in the immediate vicinity of the body 10.
  • the aim of this system/method according to the invention is to give patients with balance disorders, during rehabilitation phases after accidents/operations or when incorrect posture needs to be corrected, additional, easily understandable feedback on their own posture or inclination or inclination and, in addition, through the learning effect of the "new "sensory" to create a safe feeling and a sense of stability for the user.
  • the movement data can be made available to the user or doctors or researchers or trainers or physiotherapists.
  • a carrying device 60 is designed in the form of a long-sleeved shirt.
  • Position sensors 40 and Bluetooth vibration transmitters 150 are in the carrying device 60 z. B. integrated by gluing, sewing or velcroing.
  • a smartphone 20 can also be attached either to the front of the body or to the back using a carrying device 70, as shown in Fig. 2a is shown.
  • This carrying device 70 optionally contains a battery extension/an additional battery for smartphones.
  • the carrying device 70 is designed as a bag 71 with a waist strap 72 and shoulder straps 73.
  • a carrying device 60 is again shown in the form of a long-sleeved shirt.
  • This carrying device 60 has a pocket 61.
  • This bag 61 can hold a smartphone 20. All necessary components or elements of the system according to the invention are integrated in the smartphone 20. These are the body position sensor unit, the computing unit, and the output unit for issuing an acoustic signal.
  • headphones are connected to the smartphone 20 not by cable, but by a radio connection.
  • FIG. 2c another carrying device 70 is shown.
  • a mobile communication device can be located in this pocket 71.
  • the pocket 71 is arranged on the body 10 in such a way that it is arranged in the area of the manubrium sterni.
  • the body position data of the body 10 can thus be detected in the area of the manubrium sterni.
  • the detection is carried out by a communication device located in the pocket 71, which has a body position sensor unit.
  • Fig. 3a to 3d are exemplary representations 100 shown on the mobile communication device 20.
  • the ones in the 3a and 3b The 2-axis representations shown resemble a spirit level view from above (tin level).
  • the movements on both axes when walking ie the movements in the sagittal plane and in the frontal plane, are shown in one view 100. This enables a better assessment of a complex movement sequence.
  • Fig. 3a the body is in a 0° position. There is therefore no need to adjust the body position.
  • Fig. 3b an inclination of the smartphone 20 is indicated.
  • the position sensors integrated in the smartphone 20 thus detect a deviation from the 0° body position.
  • the representation 100 therefore shows that there is a tilt to the right.
  • the screen of the smartphone is used as a display unit 110 of the system according to the invention.
  • the display unit 110 serves to visually display the data determined by the body position sensor unit.
  • the screen of the smartphone 20 is also used as a display unit 110.
  • the movements are represented as a movement scale or as a graph 101.
  • older stored movement scales can be compared with the current movement scale. It is also possible to compare the movement scale or graph 101 with previously set movement ranges.
  • Fig. 3d The screen of a smartphone 20 is again shown.
  • the screen serves both as a display unit 110 and as an operating unit 120.
  • a graph 101 is displayed in the display unit 110 Fig. 3c is shown.
  • active areas 102 are displayed in the display unit 110.
  • the active areas 102 are defined as the inclination areas or deviation areas from the 0° body position, in which acoustic signals are preferably output.
  • the active areas 102 are preferably defined in a setting step.
  • the setting step can be carried out without attaching position sensors or without attaching a body position sensor unit.
  • a first possibility for defining the active areas is done with the help of the operating unit 120.
  • First sensor values or first inclination values (n1) are defined. These are the smallest detected deviations from the 0° body position, which must at least be exceeded in order to trigger an acoustic signal.
  • second sensor values in particular second inclination values (n2), must be determined.
  • inclination values n2 define the maximum degree of deviation from the 0° body position at which the maximum acoustic signal is output. This can be described as maximum in terms of pitch or duration.
  • the setting step in connection with the operating unit 120 can be carried out in such a way that the user is guided by the possible setting values and their visualized areas in the operating unit 120 and by changing values, namely by pressing the plus buttons or minus buttons sets the threshold sensor values n1 and n2.
  • the additionally displayed graph 101 visualizes the movement data that has occurred and is used to compare the fine settings.
  • a further embodiment of a setting step provides for a determination of the minimum and maximum values or a determination of the first and second sensor values (n1, n2) simply by tapping on the operating unit 120.
  • the setting step it is first necessary to start the setting step or the setting mode in the operating unit 120.
  • the user does not have to hit a special key or field on the control unit 120, but can simply confirm this inclination value by tapping on the control panel 120.
  • the operating unit 120 serves as a type of feedback button.
  • a greater body tilt is then carried out in the selected direction (left or right).
  • the defined sensor values 1 and 2 can then be set mirrored for the other side of the body (left or right). So on the remaining page the same values n1 and n2 are set as for the previously set values n1 and n2. It is also possible for sensor values 1 and 2 to be set for the other side of the body separately from the first side of the body.
  • the setting step (setting mode) is explained by a voice announcement and thus the individual steps, such as. B. initially tilt slightly and then tilt more strongly, step by step using the voice prompt can be carried out.
  • the setting step according to the second embodiment can also be referred to as quick tap configuration.
  • a therapist and/or a doctor and/or a researcher can also use this second embodiment of the setting step. This can be done, for example, by a monitoring unit.
  • the display unit 110 and the operating unit 120 can be present in an input and output module 130 in a combined manner.
  • the start of the rising tone can be set at inclination level 1 and the maximum volume at inclination level 2 in each direction (see Fig. 4a ). This means that either a quickly reacting signal or a soft acoustic increase can be generated for each ear.
  • the overall volume can preferably be adjusted separately.
  • Fig. 4b the calibration step and the start of the method according to the invention are shown.
  • a calibration procedure can be carried out before the start of each use, which applies to both use with recording and use without recording.
  • the calibration process or calibration step can take, for example, five seconds.
  • the at least one position sensor 20/40 can be quickly locked on the body 10, although the user will probably never attach it 100% vertically and in the present case it does not have to be attached 100% vertically.
  • a mean value is determined, which is then defined as a degree of inclination of 0.
  • vibration as a warning signal in addition to acoustic signals in the application, the following must be carried out: as a warning display or for therapeutic measures, a maximum inclination value can be defined in the application for each direction of inclination. If this is exceeded, a vibration signal is emitted preferably at the center of the body ( Fig. 4c ).
  • vibration and inclination with alternative or external sensors/devices when using external Bluetooth vibration transmitters, these are preferably arranged on the shoulders or assigned to the shoulders (see Fig. 1b ). These vibration signals can replace the function of rising acoustic signals if the patient's ears are unsuitable as feedback receivers.
  • a vibration transmitter to a person's temple or to a glasses frame.
  • the analysis mode (see Fig. 4d ) is selected, the user's movement data is recorded and visualized in a local database. It is also possible for the recording to take place in an external database, for example cloud-based. This can be done based on a water truck view from above (tin level) (see Fig. 3a ). It is also possible to save manually created notes by the user, such as medication, and/or automatically recorded data, such as GPS signals, weather data, etc. and/or send them to a database.
  • the data can be made available to doctors or researchers or therapists or trainers via an online database (see Fig. 4d ).
  • An analysis graphic is preferably created and displayed in the setting window (see Fig. 4a ) is used as a background, which is intended to serve as a visual aid to the user for further optimization (see Fig. 4e ).
  • acoustic signals are played back via headphones that are connected to the smartphone via cable or Bluetooth, for example.
  • the signal can create a pressure resistance or a suction effect for the user.
  • a tone is used on the ear exactly opposite to the direction of inclination. After a period of getting used to it, the user may find this to be a gentle, pleasant correction rather than a warning.
  • the pressure and suction effect(s) can also be used for (external) vibration transmitters, such as those in Fig. 1b are shown.
  • the following must be carried out:
  • the direction of inclination and the acoustic side of the sound can also be swapped.
  • step c) namely the conversion of the body position data into at least one acoustic signal, is shown.
  • the body 10 has an inclined posture.
  • the inclination or movement is represented by the arrow N.
  • the slope values n1 and n2 can also be seen. These define the active area 102, as already mentioned in connection with Fig. 3d is explained.
  • the body position data is determined with the help of a body position sensor unit.
  • Fig. 5a the body 10 is shown in a rear view.
  • the body position data is sent as sensor data SD from the body position sensor unit 45 to the computing unit 55. This can be done using a radio connection or a cable.
  • the sensor data is accepted in step 201.
  • the received sensor data or sensor values are compared with the previously defined sensor threshold values n1 and n2.
  • the sensor data SD is converted, i.e. H. the body position data, into control signals to generate an acoustic signal.
  • This signal is then sent to an audio module 35.
  • This can include both an audio mixer unit 36 and a sound generation unit 37.
  • the sound generation unit 37 can form a unit that is separate from the audio mixer unit 36.
  • the sensor data converted into control signals in step 203 is sent to the audio mixer unit.
  • a stereo sound signal can be generated in the sound generation unit 37. This is, for example, a continuous tone. Alternatively, it is possible to create tone sequences or a piece of music.
  • This stereo sound signal in particular the audio data AD, can simultaneously influence a left or right channel with the aid of the audio mixer unit 36.
  • the changed stereo signal can be forwarded to the left ear 32 and the right ear 33, for example through headphones, or output there.
  • a basic tone 38 can be output to the two ears 32 and 33.
  • This base tone 38 can be a very quiet tone.
  • the permanent, quiet basic tone serves to be able to perceive the tonal differences produced more sensitively.
  • the base tone 38 is a kind of control tone. If this is no longer issued, The user can conclude that there is a malfunction or interruption in the process.
  • the position/inclination of the body cannot be corrected as long as only the basic tone 38 is output. If the sound changes in one ear, in the present case on the left ear 32, for example in terms of volume, modulation or certain sound effects, the position of the body must be corrected. Due to the stereoacoustic signal emitted on the left ear 32, the user is informed that his body is tilted to the left and a corresponding corrective movement to the right must be made.
  • Fig. 5c Another option for converting the body position data into an acoustic signal is shown.
  • This embodiment of the conversion can be called the stereo switching method. If an equivalent stereo signal can be heard in both ears 32 and 33, ie in equal proportions in the left and right ears, the body position or inclination of the body cannot be corrected. If the acoustic signal increases on one side, ie in one ear, and the acoustic signal in the other ear is reduced to the same extent, the position of the body must be corrected accordingly. In the example shown, the sound in the left ear 32 increases from 50% by 40% to 90%. And in the right ear 33 the acoustic signal is reduced from 50% to 10%. This means that there is a tilt to the left and the body position must be corrected accordingly to the right.
  • Fig. 5d It is also indicated that the inclination in the sagittal plane is also taken into account when converting the body position data into at least one acoustic signal.
  • a first acoustic signal 131 is shown. This acoustic signal 131 is associated with a deviation from the 0° position of the body to the left or to the right.
  • a second acoustic signal 132 is generated in connection with the deviation from the 0° position of the body forwards or backwards.
  • a second acoustic signal 132 in particular a second stereo acoustic signal, is added.
  • This second stereo acoustic When tilted forward or backward, signal 132 increasingly replaces the first stereo acoustic signal 131 (cross-fade) depending on the strength of the tilt and predefined settings.
  • the second acoustic signal 132 is permanently directed at the left-right relationship of the first acoustic signal 131.
  • the second acoustic signal 132 mixes with the first acoustic signal 131 depending on the degree of inclination. This occurs until the first acoustic signal 131 is drowned out to the maximum.
  • step a) the average direction of movement BR of the body 10 and a deviation AR from the average direction of movement are determined.
  • This data regarding the deviation AR from the average direction of movement BR can also be used in step c), ie when converting the body position data into at least one acoustic signal.
  • the direction of movement must first be detected in one process step. If the average direction of movement BR has been determined, a deviation AR from this direction of movement BR can be recognized or determined.
  • the deviation AR is signaled by an acoustic signal in the left ear 32.
  • An inclination in the upper body of the user or the body 10 is not necessary.
  • a gait pattern that exhibits a sway is not fundamentally related to a crooked or inclined body. Rather, a tendency to sway can arise from failure or compensatory steps. Due to the inclusion of the deviation AR from the direction of movement BR when converting the body position data into at least one acoustic signal, a further developed improvement in the gait pattern can thus be provided.
  • the data regarding the deviation AR can be converted into an acoustic signal in the way that has already been described in connection with a body tilt to the left or right (or forward or backward). For example, if a threshold value is exceeded, it can also Minimum value can be called, with regard to a deviation from the direction of movement to the left in the left ear, an acoustic signal, in particular a rising acoustic signal, is output.
  • a deviation AR from the average direction of movement BR can be recognized, for example, by determining a difference between the average direction of movement BR and the upper body orientation.
  • a body position sensor unit 45 can include both position sensors 40, which are designed separately from a mobile communication device. Furthermore, these can be sensors that are integrated in a smartphone 20. In particular, these can be position sensors, gyro sensors, gravity sensors, acceleration sensors, vibration sensors, rotation sensors, magnetic sensors as well as mechanical sensors such as. B. act as a cable pull sensor.
  • an external sensor unit 25 can alternatively or additionally be designed.
  • This can be a camera, in particular a Kinect camera, i.e. a camera with depth sensors, or a wobble board.
  • the body position data recorded by the body position sensor unit 45 is then sent to the computing unit 55 as sensor data SD.
  • the computing unit 55 can be part of a controller unit 56.
  • the controller unit can further include a memory 57.
  • a selection of system parameters can be stored in the memory 57.
  • the values n1 and n2 can also be stored there. It is also possible to store the selection of the sound method, logarithms, volume ranges, etc. in memory 57.
  • the controller unit 56 can also have a communication unit 58.
  • This communication unit 58 serves as an interface for data transmission. Data can be both exported and imported become.
  • the communication unit 58 can be either a USB interface or a radio interface. With the help of the communication unit 58, Internet access can also be provided via UMTS/LTE or WiFi.
  • the communication unit 58 can include an interface to an online database.
  • input and output module 130 can be designed. This can include a display unit 110 and an operating unit 120. With the help of the control unit 120, as already in connection with Fig. 3d explains, threshold values are set with regard to the detected sensor data SD.
  • the display unit 110 is used, for example, to display graphs 101 and active areas 102. Accordingly, video signals VD can be sent to the display unit 110.
  • an audio module 35 can include the already described audio mixer unit 36 and the sound generation unit 37.
  • the audio module 35 is used to generate audio data AD, i.e. H. of acoustic signals that are sent to an output unit 140 for outputting an acoustic signal.
  • the sound generation unit 37 is an audio source for sound generation. This can be a tone generator or a synthesizer.
  • An audio player can also act as a sound generation unit 37.
  • the audio module 35 can also have an audio signal input 39b and an audio signal output 39a.
  • An audio signal input 39b is necessary if the audio module 35 has a sound generation unit 37.
  • the audio signal input 39b can be used as a socket for wired sound reception or as a wireless receiver, e.g. B. be designed as a Bluetooth interface.
  • the audio signal output 39a is the interface of the audio module 35, which sends the audio signal or the audio data AD to the output unit for outputting the acoustic signal 140.
  • This can be a socket for wired sound output as well as a transmitter for wireless sound output, e.g. B. is a Bluetooth interface.
  • FIG. 7a A secured platform with a database 90 for analysis data is shown, which can be viewed by researchers, doctors 80, therapists and patients. There can therefore be a connection from the system to one Database 90 and from the database 90 to a doctor 80 are made.
  • the platform with database 90 is an online platform.
  • the monitoring unit 160 can be a second, wireless and parallel interface device, in particular a mobile communication device, which is connected to the user's system.
  • the monitoring unit 160 serves to enable people such as doctors and trainers to monitor, but also to intervene in real time if necessary.
  • a remote function This is roughly equivalent to a remote function.
  • a remote function reference is made to the following: Real-time remote access to the user is made possible for therapists in order to be able to observe and analyze the processes on site during walking tests, but also using remote analysis, and optionally make adjustments or adjustments to the app/procedure.
  • Interfaces and data connections The app/process is intended for easy expandability and programming of interfaces for existing databases.
  • the patient's analysis values can be transmitted after interface programming.
  • independent sensor and feedback devices in particular external mobile communication devices, can be provided which optimize the wearing comfort, the battery life, the measurement accuracy and at suitable intervals with a smartphone or a Mobile communication device can be connected and the measurement data can be saved and transmitted.
  • An extra app can be designed for the external devices. It connects to the external/autonomous devices via radio signal, in particular via Bluetooth, adjusts them, collects data and makes them accessible online.
  • Carrying devices in particular bags and/or items of clothing, are provided that optimize carrying comfort and design.
  • Fig. 2b it is shown that the carrying device 60 can be designed as a long-sleeved shirt that fits tightly to the body 10, with the carrying device 60 having at least one pocket 61.
  • Sound development Sounds/tones are made available specifically for the respective needs, therapy goals and psychological findings, which are entered into the app/memory/program and are preferably available for selection online.
  • Target groups of the method according to the invention or the device according to the invention are, for example, patients with balance disorders.
  • additional sensors in particular by means of additional position sensors, particularly preferably by means of a body position sensor unit, and reliable, permanent and quickly processed feedback in the ear and on the body, a feeling of security is created.
  • a stable self-confidence can be brought about in patients with balance disorders. Through the repeated use of feedback or acoustic feedback, this stimulation achieves a new awareness of one's own body position and also a learned, sustainable body stabilization.
  • the system according to the invention or the method according to the invention includes safety and control aspects for doctors, therapists and patients in walking therapies or movement therapies. It is a correction and individual Analysis and care of people with walking disorders, posture disorders, as well as patients after pelvic and knee operations in training or rehabilitation phases possible. Through a recording function with an online database, patients can be regularly and individually analyzed and treated optimally during therapy phases, medication and treatment.
  • the system according to the invention or the method according to the invention also offers advantages to researchers, analysts, doctors and therapists. Measurements for analyzes with convenient progress monitoring for new treatment methods, therapy sets and medications can be carried out on test subjects. Athletes and trainers can also benefit from the method according to the invention or the device according to the invention. To optimize the training, measurements can be carried out using the method, using the computer-readable storage medium, using the app or using the system. These measurements can also be taken after operations or accidents.

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EP17749691.6A 2016-08-09 2017-08-03 System, verfahren und computerlesbares speichermedium zur körperhaltungs- und bewegungsregulation Active EP3496594B1 (de)

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PCT/EP2017/069598 WO2018029064A1 (de) 2016-08-09 2017-08-03 System und verfahren zur körperhaltungs- und bewegungsregulation

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US11957457B2 (en) 2024-04-16
WO2018029064A1 (de) 2018-02-15
US20240108247A1 (en) 2024-04-04
EP3496594A1 (de) 2019-06-19
CN109788909A (zh) 2019-05-21
US20190175073A1 (en) 2019-06-13

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